Free, but costly to his principles

It's only Thursday and already I'm beat. As usual, I'm swamped: phone calls to return, charts and labs to review, all sandwiched between my regular schedule of patients. I love them, but the frenetic pace wears me down. There is hope in sight: On Thursdays, the drug reps cater lunch. They roll out the red carpet, flatter and regale me with all sorts of impressive-sounding scientific studies, all showcasing their drug.

Today's menu: Caesar salad, veal Parmesan, Italian rolls, marinated veggies and tiramisu. The only thing missing is the Chianti. They've also brought free pens with prominent drug logos, Post-its and some sort of candy dispenser that I can't figure out. Of course, they've also got the smartly packaged drug samples, free for the asking.

A well-dressed woman who looks as if she belongs on Wall Street greets me with a smile I could pour on my pancakes. I feel underdressed in my khaki slacks and Dr. Seuss tie. She beckons me to sit down, take a load off my feet and dig into the veal Parmesan. Her chummy sidekick chimes in, right on cue, that they'd like to update me on their latest drug.

So, along with lunch, I am being treated to a well-rehearsed play, complete with drama, heroes (their drug) and villains. And they dive right in with lengthy descriptions of case studies, sample size, confidence intervals, head-to-head drug trials. Don't they realize that this is not a research institution, just a clinic on the corner?

I smile wanly. I just want to get this food down in peace. Yes, there's no such thing as a free lunch -- and I'm paying for this one. As I eat, I hear about their drug going against old-time drug Brand X. And, of course, their drug is the hands-down winner in all the studies, no surprise there.

I listen politely and even agree to use their drug. I'm always polite. And I haven't had the tiramisu yet. Everyone is happy. Yet there's a little devil on my shoulder whispering in my ear, wanting to stir up the pot. Should I tell them about their competitors who breezed through earlier in the week inviting me to the ballgame: box seats, free beer and brats? But I don't. I am a polite doctor, choosing not to bite the hand that feeds me. And, oh, that tiramisu looks good.

The free pens are nice. I'm frequently losing pens, so these will come in handy. I can always use the Post-its too. And these friendly people with their $600 suits take such an interest in me. For 30 minutes, I feel like a king. The least I can do in return is prescribe their drug. What does it matter to me?